1. The nursing instructor informs a student nurse that a client she is caring for has a chronic neurologic condition that
decreases the client’s peristalsis. What nursing diagnosis is the most likely risk for this clien
...
1. The nursing instructor informs a student nurse that a client she is caring for has a chronic neurologic condition that
decreases the client’s peristalsis. What nursing diagnosis is the most likely risk for this client?
A) Constipation
B) Diarrhea
C) Decient uid volume
D) Excessive uid volume
Ans: A
Feedback:
Peristalsis is dened as the contractions of the circular and longitudinal muscles of the intestine. Decreased peristalsis will result in constipation because the movement of the fecal mass will occur at a slower rate and more uid will
be absorbed in the colon.
2. During defecation, the client experiences decreased cardiac output related to the Valsalva maneuver. After the Valsalva maneuver, the nurse assesses the client’s vital signs and expects to observe which of the following?
A) An increase in the client’s blood pressure
B) A decrease in the client’s blood pressure
5/12/2018 Chapter 37, Bowel Elimination | Nursing Test Banks
https://boostgrade.info/chapter-37-bowel-elimination/ 2/20
C) An increase in the client’s respiratory rate
D) A decrease in the client’s respiratory rate
Ans: A
Feedback:
When an individual bears down to defecate, the increased pressures in the abdominal and thoracic cavities result in
a decreased blood ow and a temporary decrease in cardiac output. Once the bearing down ceases, the pressure is
lessened, and a larger than normal amount of blood returns to the heart; this act elevates the client’s blood
pressure.
3. While caring for an infant who is breast-fed, the nurse assesses the characteristics of the stools. What stool characteristics are expected in breast-fed infants?
A) Golden yellow and loose
B) Dark brown and rm
C) Yellow-brown and pasty
D) Green and mucusy
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